ASHLIE M TISLOW
NPI 1609689215
Nurse Practitioner - Psychiatric/Mental Health in Lafayette, IN

Q: What is Ashlie Tislow's NPI number?

The NPI number for Ashlie Tislow is 1609689215. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Q: What is Ashlie Tislow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Ashlie Tislow was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 28, 2025

5 EXECUTIVE DR STE C2, LAFAYETTE, IN 47905(765) 418-1849 Get Directions Write a Review

NPPES record last updated: January 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ashlie M Tislow NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ASHLIE M TISLOW (NPI 1609689215) is an individual psychiatric/mental health provider in Lafayette, Indiana, licensed in Indiana (71016268A) and active in the NPI registry since January 2025.

NPPES Registry Identity

NPI1609689215

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameASHLIE M TISLOW

Location Address5 EXECUTIVE DR STE C2Lafayette, IN 47905-4867

Mailing Address5 Executive Dr Ste C2Lafayette, IN 47905-4867 · (765) 418-1849

Phone(765) 418-1849

Sole ProprietorYes

Enumeration DateJanuary 28, 2025

NPPES CertifiedJanuary 28, 2025

✔ NPI 1609689215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in IN · 71016268A

5 EXECUTIVE DR STE C2, Lafayette, IN 47905

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MYND MGMT LLC

Nurse Practitioner (Psychiatric/Mental Health)

5 EXECUTIVE DR STE C2
LAFAYETTE, IN 47905

Tippecanoe County (765) 684-4979

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ashlie Tislow's NPI number?

The NPI number for Ashlie Tislow is 1609689215. It was assigned to this individual provider in the NPPES registry on January 28, 2025.

Where is Ashlie Tislow located?

Ashlie Tislow practices at 5 Executive Dr Ste C2, Lafayette, IN 47905. The listed phone number is (765) 418-1849.

What is Ashlie Tislow's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Ashlie Tislow was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.